Indiana
Professional Licensing Agency
Nancy Zona Halsema
Controlled Substance Registration - Dentist
License number
12007944B
Date granted
10/08/1980
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3965 West 106th Street, Carmel IN 46032
indianalicensing.org
ID 5085730
LAST UPDATED 2024-02-08 13:37:41 UTC
LAST UPDATED 2024-02-08 13:37:41 UTC
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